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Neurogenic bladder

Vesica urinaria neurogenica · Neurogenní močový měchýř

What it is

A bladder that has lost its nerve control — after spinal injury, MS, spina bifida, diabetes or stroke — so it leaks, retains, or both.

Symptoms & signs

  • Leaking or urgency
  • unable to empty
  • recurrent infections
  • kidney damage from high pressure
  • dribbling

🚩 Get help if…

  • call 112 / 911 now Pounding headache, flushing and sweating with spinal injury above chest level
  • call 112 / 911 now Fever with shivers and back pain
  • see a doctor soon Unable to pass urine or catheter blocked
  • see a doctor soon Cloudy, smelly or bloody urine

Where it strikes

Medical treatment

  • Urodynamic studies
  • intermittent self-catheterisation
  • anticholinergics or mirabegron
  • botulinum toxin into the bladder
  • surgery (augmentation, diversion)

Natural & lifestyle

  • Timed voiding and fluid planning
  • bowel care

Emerging & experimental

  • Sacral and tibial nerve stimulation
  • spinal cord stimulation after injury

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Cranberry — a Cochrane review found no benefit in nerve-damaged bladders not confirmed in trials
  • Pelvic-floor training — helps in MS; small trials early / small studies
  • Cannabinoids — a trial in MS reduced urgency episodes early / small studies

ICD codes